| NPI | 1730585837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.011627) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.010180) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2018-05-22 |